Application of Digital Twin and Heuristic Computer Reasoning to Workflow Management: Gastroenterology Outpatient Centers Study

Submitted by gpeng on Tue, 04/11/2023 - 15:51
Authors
Marc Garbey
Guillaume Joerger
Shannon Furr
DOI
DOI:10.26502/jsr.10020283
Publication journal
Journal of Surgery and Research. 6 (2023): 104-129.

The workflow in a large medical procedural suite is characterized by high variability of input and suboptimum throughput. Today, Electronic Health Record systems do not address the problem of workflow efficiency: there is still high frustration from medical staff who lack real-time awareness and need to act in response of events based on their personal experiences rather than anticipating. In a medical procedural suite, there are many nonlinear coupling mechanisms between individual tasks that could go wrong and therefore is difficult for any individual to control the workflow in real-time or optimize it in the long run. We propose a system approach by creating a digital twin of the procedural suite that assimilates Electronic Health Record data and supports the process of making rational, data driven, decisions to optimize the workflow on a continuous basis. In this paper, we focus on long term improvements of gastroenterology outpatient centers as a prototype example and use six months of data acquisition in two different clinical sites to validate the artificial intelligence algorithms.

 

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Publication Date
Keywords
Digital twin
Gastroenterology
Workflow optimization
Heuristic computer reasoning
Cyber-physical system
Electronic health record
Artificial intelligence